Madhavan, Santhosh
Madhavan, Santhosh is an individual health care provider with primary practice located at 26900 Franklin Rd , Southfield MI 48033-5312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Madhavan, Santhosh can be contacted via phone (248) 350-8070.Contact Information
Primary practice address
26900 Franklin Rd
Southfield MI 48033-5312
Phone: (248) 350-8070
Fax: (248) 350-8078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 4301050998 | Michigan |
Profile Details
| NPI number | 1124131479 |
|---|---|
| LBN Legal business name | Madhavan, Santhosh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Sep 2nd, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124131479 | NPPES |
| Michigan | Other | 25-0F34274-0 | BCBS |
| Michigan | Other | 2506334501 | BCBS |
| Michigan | MEDICAID | 4149829 | BCBS |
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